ZACHARY MOODY – Podiatrist, NPI 1700288446

ZACHARY MOODY is a healthcare provider. based in Chicago, Illinois. specializing in PODIATRY. They hold a License No. 016005627 (IL). The NPI Number for ZACHARY MOODY is 1700288446

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY MOODY
NPI
1700288446
Phone
(405) 306-9742
Address
3631 N HARLEM AVE
Enumeration Date
25 September 2014
Last Update Date
21 August 2024

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7737252953
Graduation Year
2011 (15 years ago)
PAC ID
0042526840
Group Practice PAC ID
2163522616
Professional Enrollment ID
I20150824002053
Address ID
IL606342237CH3631XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

Provider Addresses for ZACHARY MOODY

  • 3631 N HARLEM AVE

    CHICAGO, IL 606342237

    Phone: (405) 306-9742

    Type: Mailing

  • 900 OGDEN AVE 311

    DOWNERS GROVE, IL 605152829

    Phone: (773) 725-2953

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150824002053IPodiatryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails1,603505$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1,579451$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes138138$0
11055Removal of noncancer thickened skin growth, 1 growth12369$0
97597Removal of tissue from wound, 20.0 sq cm or less4118$0
View full utilization report →

Insurance plans in this area (ZIP 60634)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163522616View full group profile
NameSpecialtyState
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL

Reviews

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Frequently asked questions

What is the registry number for ZACHARY MOODY?
The registry entry for ZACHARY MOODY shows NPI 1700288446.
Quick check: is ZACHARY MOODY active?
Public NPPES data shows ZACHARY MOODY with an active NPI status right now.
What does the directory say ZACHARY MOODY does?
Insurance directories may phrase it differently, but here ZACHARY MOODY maps to Podiatrist. Clinical services aligned with this taxonomy classification.
What city is tied to ZACHARY MOODY?
The directory associates ZACHARY MOODY with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for ZACHARY MOODY?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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